Dentist Referral
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Introducing
Location
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Des Plaines
Joliet
Chicago Ridge
Date
Time
Referring Doctor
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Instructions
To Be Filled In By Dentist
Patient is having pain, swelling, sensivity. Please Evaluate
Endodontic treatment is necessary for proper restoration of tooth
Nerve was exposed.
X-Ray revealed radiolucency.
Root Canal treatment was started.
Post prep is indicated
Evaluation for possible opical surgery.
Retreatment.
CBCT
Upper right
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Upper left
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Lower right
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Lower left
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